tent, has yet been sufficient to convince me that in the Roentgen ray we have an agent of great benefit; not only for the inoperable cases, but it is well worth while to use it in all of them. Please remember, however, that I am not offering this agent to you as a cure for every case; you know that I never make that claim baldly for anything. When you hear the cases I shall report to you I believe you will agree with me that the Roentgen ray is at least a valuable remedy.

Of late I have been giving my x-ray patients fluorescin, after the suggestion of W. J. Morton of New York. This is a substance which is administered a while before the patient is exposed to the Roentgen ray; it passes into the circulation; it has the property of glowing with fluorescent light when it is exposed to the x-ray; in this manner the patient who is receiving the combination of fluorescin and Roentgen ray gets the benefit of two forms of energy instead of one.

Fluorescin has no unfavorable physiological action so far as is known, at least in the doses as now given; it appears in the urine unchanged, giving it a greenish color.

I am somewhat under the impression that the use of fluorescin is useful, but I am not yet prepared to make the statement definitely as an assured fact.

The following cases will tell you more for themselves than I can convince you of by mere statements.

Case No. 36, referred by Dr. Craig: Miss A. This patient was in extremely bad general condition and was a whole hospital ward in herself, for number and variety of complications. She had two tubercular glands on the right side of the neck, one of which had been suppurating for several months; Dr. Craig stated when he referred her to me that if she lived very long it would be a miracle. The suppurThe suppuration ceased under Roentgen therapy, and the other gland has disappeared. The

former hopeless invalid is now a self-supporting member of society. Some day I am going to report this case in extenso; it furnishes material for a good paper.

Case No. 40, referred by Dr. Van Meter: Miss C. Meter: Miss C. This patient has had tubercular glands for several years. They have been opened and pus evacuated repeatedly; when she came to me there was an immense mass on each side of the neck, extending from the lobe of the ear down on to the shoulder, and a mass under the jaw. She was treated steadily for a year. It is now about nineteen months since treatment was discontinued and to the observer standing a short distance away from her nothing abnormal would be noticed.

Case No. 84, referred by Dr. Vroom: F. T., a boy of 12. Mother died of pulmonary tuberculosis. Boy has tubercular glands on each side of the neck and is a delicate looking child. He received treatment during about five months, at the end of which time no more traces of trouble were apparent, and he had gained considerably in weight. At this time, twentyone months since treatment was stopped, he is as healthy a looking boy as most others.

Case No. 300, referred by Dr. P. V. Carlin. Carlin. R. L., a girl of 10. Mother tubercular. Patient has a number of moderately enlarged glands on the right side of the neck; on the left side are several, some of them quite large, one being larger than a pigeon's egg. She is still under treatment; the glands on the right side have practically disappeared and those on the other side are much smaller.

Case No. 273: E. P. McD. Masses of large glands on each side of the neck and under the jaw. Under treatment they greatly decreased in size and are now represented by hard lumps which are probably for the most part composed of fibrous tissue.

Case No. 293, referred by Dr. Leonard

Freeman: Miss L. M. "Scrofulous" glands in both groins, a large and acutely inflamed one in the left axilla, a chain of quite small ones in the right side of the neck, a lump the size of an almond in the left breast, and a number of quite large mesenteric glands could be palpated in the abdomen. She had suffered from diarrhoea for a long time and had a daily rise of temperature. Not a very promising. case, I think you will acknowledge. Fluorescin was used in conjunction with the Roentgen ray treatment. After fourteen treatments her fever seemed to dis appear, and after the nineteenth exposure her diarrhoea had stopped. After twentyone exposures she went home for the summer vacation, being a school teacher. She came into the office today just as I began writing the report of her case and stated that her health is better than it has been for several years. During the summer she has had a little diarrhoea once or twice, but that it could be accounted for by food she had taken; she has felt no fever at all until after the trip to this city, and that was not like what she formerly had. The lump in the left breast is hard and only one-fourth its former size; the gland in the right axilla is very small, and the only traces remaining in the neck are very small, hard knots. The glands in the groins are about half their original size, and I am unable to feel those in the abdomen.

Case No. 219, referred by Dr. H. W. Rover Miss M. F. S., teacher. Since eight years of age she has had occasional swellings of the glands in the neck. They became quite large and had been increasing in size since an attack of the grippe six years ago. When she came to me there was a chain of large glands on each side of the neck, and a number of very large ones under the chin. She received fluorescin in conjunction with the Roentgen ray. After the fifteenth exposure my notes state that all the glands in the neck

are gone and that the others are smaller. After 23 exposures treatment was discontinued in order to see how much action. would continue. The glands under the jaw are now considerably smaller than when we stopped.

CONSTITUENT SOCIETIES

The regular meeting of the Delta County Medical Society was held on the afternoon of May 4 with Dr. Austin E. Miller, at his residence in Austin, amid the blossoms of the best and prettiest orchard we have ever seen. Those present were: Drs. Dixon, Follansbee and Hazlett of Paonia; Gainey of Crawford; Grove and Williams of Hotchkiss; Miller of Austin; and McCarthy of Delta.

Dr. Myers of Hotchkiss honored us with his presence as a visitor, and seemed to enjoy himself as hugely as the rest of us.

A very pleasant two hours was spent in viewing the orchard and listening to the entertaining and instructive remarks of the host on fruit, its cultivation, care and improvement, after which the members were ushered into the dining room, where Mrs. Miller served a sumptuous dinner in her inimitable way, and joy reigned supreme for another two hours, after which the meeting was called to order by President Hazlett.

A communication from Dr. Thomas A. McIntyre, Secretary of Teller County Medical Society, in regard to fixing a uniform rate for insurance examinations of $5 each was read by the Secretary. As it was desired to make the rate the same throughout the country, a thorough examination or investigation was deemed necessary, and Dr. Miller made a motion that definite action be deferred till next meeting. Seconded by Dr. Dixon, and carried unanimously.

A communication from Dr. Melville Black, Secretary Colorado State Medical Society, asking for a representation from Delta county. to read and defend a paper at the next state meeting, to be held in September, was read by Secretary.

Dr. Williams made motion to comply with request. Seconded by Dr. Miller. The President appointed the following committee to appoint a representative, namely: Drs. Dixon of Paonia, McCartney of Delta, J. G. Williams of Hotchkiss. This committee subsequently

appointed Dr. D. V. Mecklejohn of Somerset, as county representative, and we feel the selection could not have been better.

A set of resolutions forwarded by Dr. T. E. Carmody, Secretary of the Medical Society of the City and County of Denver, against the wholesale and indiscriminate use of proprie. tary, patent and secret remedies, and endorsing the stand of certain papers in their endeavors to lessen this evil, which is becoming more prevalent and dangerous every day. On motion of Dr. Williams, seconded by Dr. Miller, and carried unanimously, this resolution was adopted.

Several papers were carried over for next meeting.

A vote of thanks was tendered to Dr. and Mrs. Miller for their genial hospitality. The meeting adjourned to meet with Dr. Williams at Hotchkiss on Tuesday, June 19, at 8 p. m. O. P. MCCARTNEY, Secretary.

The Boulder County Medical Society held its regular monthly meeting in the Physicians' Block Thursday, May 3, 1906, at 8 p. m.

Those present were: Drs. Queal, Gilbert, Jolley, Campbell, Rodes, Johnstone, Dessie Robertson, Spencer, Cattermole, Kate Lindsay, Lucy M. Wood, L. M. Giffin and a number of medical students.

Minutes of the last meeting were read and approved.

Dr. E. B. Queal read a paper on "The Work of the Kidney." He stated that there were two well known theories in regard to nephritic activity: One, the theory of filtration, and the other of secretion. Ludwig holds that the urine is collected by the glomerulus and is concentrated by absorption during its passage through the tubule. Heidenhain states that the water and inorganic salts are collected in the glomerulus and the more solid substances are secreted by the uriniferous tubule.

He gave a number of experiments which have been performed to show the secretory changes which take place. The glomeruli separate the larger parts of the salts and water and the epithelium the larger portion, if not the whole, of the organic constituents.

The practical absence from the urine of the proteids and sugar of the blood under normal circumstances and the elimination by the kidney of egg albumin, peptone and other bodies,

when injected into the veins, show a selective power inexplicable except by reference to the vital activity of the cells. Urea and sugar both highly diffusible substances, circulate side by side in the blood vessels of the kidney. The one is taken and the other is left. Urea is a waste product and of no further use in the body. Sugar is the valuable food substance. The kidney selects with unerring certainty the urea of which only four parts in ten thousand are present in the blood, but rejects the sugar where there is five times as much.

First,

Diuretics act in two general ways: by raising the arterial blood pressure by means of action on the heart and arteries; second, by increasing the activity of the renal circulation in particular. Diuretics of the first type would be digitalis, squill, diuretin and calomel. These are the indirect, and are indicated when a low renal arterial pressure is due to heart disease. The direct are caffein, acetate, citrate, and bytartrate of potassium, contharides, cubebs, juniper, turpentine, and digitalis combined with squills.

Dr. Queal's paper was discussed by Drs. Gilbert, Cattermole, Giffin, Jolley and Rodes.

The letter from the State Secretary was read and a committee appointed by the President to select two representatives of this Society to prepare and read papers at the State Society in October. Drs. Queal, Rodes and Giffin were appointed as a committee.

A letter from the American Medical Association, relative to the raising of funds for the destitute San Francisco physicians, was read. It was voted that a committee be appointed by the President to receive funds. Drs. Spencer, Queal and Jolley were appointed, and $18 has been raised and sent in.

It was also voted to concur with the resolutions adopted by the Denver City and County Medical Society concerning the nostrum evil. At present the Boulder County Medical So

ciety has a membership of 42, 36 of whom have paid their dues for 1906.

The meeting adjourned to meet the first Thursday in June. R. E. SPENCER, Secretary. By E. F.

Florence, Colo., May 8, 1906. The regular meeting of the Freemont County Medical Society was called to order in Canon City, in the office of Dr. Phelps, by the President, May 7, at 9:30 p. m., after a dinner at the Strathmore hotel, in honor of the presence of Drs. Wetherill and Black, of the State Society.

Minutes of the previous meeting were read and approved.

On motion, the regular order of business was suspended. Drs. Wetherill and Black were invited to speak to the Society.

Dr. Black stated that in their missionary travels among the various County Societies, they had been surprised and much encouraged by the interest and the remarkably good attendance at these meetings. He believed that the journal of the society is doing a great work in keeping up this interest by the publication of the transactions of the County Societies. Dr. Black also described in detail the plan for the program for the next state meeting, to ask each County Society to be represented by a paper read in person, by one appointed by the Society, and also the plan to publish a short abstract of each paper in the program to facilitate discussion.

Dr. Wetherill spoke enthusiastically of the great improvement in the whole medical organization in this country in recent years. He stated that their visits to the County Societies were wholly in the interest of fellowship and getting acquainted with the wishes and desires of the component parts of the State Society. In this connection, Dr. Wetherill asked for the opinion of the members of the Fremont County Society as to the desirability of publishing the journal as opposed to the old volume of the transactions. The opinion was freely and unanimously expressed that the journal is good, is read and enjoyed, and is more generally useful than the single volume of transactions. Some suggestions were also made as to some possible improvements in a very small way.

After a short recess, Dr. Clark's paper on "Pneumonia" was announced. The essayist

dealt with pathology and treatment, compiling as far as possible the newest and best in treatment as used in the best hospitals in the country. Dr. Clark spoke favorably of creosote, spoke of elimination by the bowels and skin, mentioning the hot foot bath in bed with cold to the head, to produce free sweating. Fresh air or the outdoor treatment with absolute rest was recommended. Oxygen, strychnin, nitro-glycerine and veratum were discussed. Freshly expressed beef juice was suggested as the proper nourishment. Discussion: Dr. Black stated that nasal hemorrhage had come under his observation as a complication of pneumonia, and he spoke of it to suggest a homely but effective remedy in plugging the nares anteriorly with fat salt pork, which could be easily removed, without causing a recurrence of the bleeding. Dr. Cummings related his experience with this method in other cases of nasal hemorrhage. Dr. Hamilton used creosotal and veratum in the treatment of pneumonia, having treated some 30 or 40 cases with two deaths. Dr. Clarke, in closing the discussion, spoke of the ice bag and cold pack as very valuable aids in treatment.

The President then appointed Drs. Holmes, Cummings and Hamilton as a membership committee. The applications of Drs. J. P. Roberts of Radiant, Huffman of Portland and Dr. M. Jay on Canon City, were presented to the Society with the recommendation of the committee, and were unanimously elected to membership.

An appeal was read from the California Relief Committee of the American Medical Association, asking aid for physicians in California. On motion, the Society donated from the Treasury $25 to this fund.

The Secretary reported that shortly after the last meeting the Society had been asked to appoint a representative to read a paper at the next state meeting; that Dr. Moore had appointed as a committee to make such appointment, Drs. Adkinson, Williamson and Palmer, and that the committee had asked Dr. T. B. Moore of Canon City to act as our representative in that matter, and that Dr. Moore had accepted the appointment.

Communications were read from Collier's Weekly and the Ladies' Home Journal, thanking the Society for resolutions recently passed in the patent medicine matter.

A communication was read from Dr. Van Meter, Secretary of the State Board of Medical Examiners, asking for recommendation of a man

Dr. Reed reported a case of faecal impaction in a female of about the same age. He had exhibited olive oil in heroic doses (pint) with most excellent results.

Dr. Church read the paper of the evening, entitled "Milk in Infectious Diseases," casually mentioning its early history, and the cattle on a thousand hills. He took up its composition, food value in calories, the ease with which it may be obtained, the facility of administration, paltability, and other qualities too numerous to mention. The doctor closed with a careful analysis of curd formation in a healthy and debilitated stomach, taking up the possible dangers to an ulcerated intestine. He quoted the replies of several of America's leading pathologists to several questions on this subect. Their opinions unanimously upheld his views, as to the harmlessness of the milk curd in the intestines, and to their not being a contributory cause to death in any

case.

Discussed by Dr. Reed, who vehemently discarded milk in all typhoid patients, for buttermilk and fruit juices; by Dr. Graham, who agreed with the essayist. He would continue

to use milk in infectious diseases; by Dr. Law, who held similar views. He confessed to being something of a calf himself. By Dr. Miller, who emphasized the importance of intestinal cleanliness and the danger of injudicious and over feeding. He used peptonoids and malted milk with good results. Dr. Mead related her experience in the wards of the Denver hospital, which was in favor of milk as opposed to soup diet. The president, Dr. Hughes, would not be limited in the use of food, but would be influenced by the individual

case.

Dr. J. K. Miller now read a letter to our Society from Dr. R. C. Robe of Pueblo, which speaks for itself:

Weld County Medical Society:

My Dear Doctor and Brothers of the Profession-I wish to congratulate your Society on the stand it has taken in regard to the operation of the present Colorado medical law. I think, however, that all criticism should be based on the one idea only of a high standard of education for all applicants for license. I objected from the first to the bill which we now have on the grounds that it is entirely too elastic, and vests too great discretionary power in the medical examining board. The vital points which would make the law of any benefit to the state should have been embodied in the law. The bill, as it now stands, is little, if any, improvement over the old law, and its execution-being altogether in the hands of the board-may amount to nothing, or, I admit, may be more stringent than that of any other state. But is it, or is it likely to be? Let us consider a few points before answering. It is a fact that no other state will reciprocate with us. We could not expect them to with the law as it is now. We should and could have a law that would command the highest respect from all other states-one that would embody in it all the best features of all the laws of all the states, and such as have stood, and will stand the test of courts, even up to several of the state supreme courts. A few days before the medical bill was to come up for action a draft of it was sent down for the approval of the Pueblo County Medical Society, and requesting immediate action. The draft differed materially from the one submitted a few months earlier by the committee of the medical legislative league, and which met with general approval. A number of our members endeavored to have the Society recommend some changes in the bill, e. g., to require a written examination of all applicants